Organization
CITY OF SOUTHFIELD
Active
Other names
Southfield Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RICHARD COLOMBO PARAMEDIC-IC (CAPTAIN/ PARAMEDIC COORDINATOR)
(248) 796-5608
Entity
Organization
Contact information
Practice address
24477 LAHSER RD, SOUTHFIELD, MI 48034-6042
(248) 796-5608
(248) 796-5605
Mailing address
PO BOX 2055, SOUTHFIELD, MI 48037-2055
(248) 796-5650
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
631018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00208625
RAILROAD MEDICARE
MI
Enumeration date
07/04/2006
Last updated
12/08/2007
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